Education of medical caregivers in Poland: areas requiring improvement - mixed-method research.

IF 3 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Magdalena Krysińska-Pisarek, Katarzyna Domosławska-Żylińska, Piotr Tyszko
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Abstract

Background: Demographic changes associated with an ageing population, combined with the shortage of nursing personnel in Poland, have led to the introduction of a distinct new medical profession-the medical caregiver-which is separate from the nursing profession and has been officially included in the national classification of professions and specialties. In light of the demands of this role, a study was conducted with the primary objective of analysing educational outcomes and identifying areas requiring improvement in both theoretical knowledge and practical skills within the educational process for medical caregivers.

Methods: Convergent parallel mixed-methods design was used, with quantitative (Computer-Assisted Web Interview, CAWI and paper questionnaire)and qualitative components (3 mini Focus Group Interview, FGI) conducted concurrently and results integrated. Coding disagreements were resolved through discussion among the three researchers until consensus was reached. A total of 840 surveys were included in the analysis. Statistical analyses were conducted using the IBM SPSS Statistics 26.0 statistical package, STATISTICA version 12.0, and Excel spreadsheet software.

Results: Key areas of education identified as needing further development included: the fundamentals of care for ill and dependent individuals, essential aspects of medical care, personal and social competencies, health and safety at work, planning and performing hygiene and care activities for ill and dependent individuals and performing selected tasks tailored to the needs of individuals with dementia. Both survey respondents and FGI participants consistently identified insufficient training in practical skills and soft skills.

Conclusions: Our results explicitly identify specific training gaps in sign language, practical clinical skills, and stress management, supporting our recommendations for targeted improvements in these areas. Implementing these curriculum improvements would require coordinated efforts between educational institutions and healthcare employers.

波兰医疗护理人员的教育:需要改进的领域——混合方法研究
背景:与人口老龄化相关的人口结构变化,加上波兰护理人员的短缺,导致引入了一种独特的新医疗职业——医疗护理人员,这一职业与护理职业分开,并已正式列入国家职业和专业分类。鉴于这一角色的要求,进行了一项研究,其主要目标是分析教育成果,并确定在医疗护理人员教育过程中需要改进理论知识和实践技能的领域。方法:采用收敛并行混合方法设计,定量(计算机辅助网络访谈,CAWI和纸质问卷)和定性(3个迷你焦点小组访谈,FGI)同时进行,结果整合。三位研究者通过讨论解决编码上的分歧,直至达成共识。共有840份调查被纳入分析。采用IBM SPSS Statistics 26.0统计软件包、STATISTICA version 12.0和Excel电子表格软件进行统计分析。结果:确定需要进一步发展的关键教育领域包括:照顾病人和受抚养人的基本原则、医疗保健的基本方面、个人和社会能力、工作时的健康和安全、为病人和受抚养人规划和开展卫生和护理活动,以及根据痴呆症患者的需要执行选定的任务。调查对象和FGI参与者一致认为,实践技能和软技能培训不足。结论:我们的研究结果明确指出了在手语、临床实践技能和压力管理方面的具体培训差距,支持了我们对这些领域有针对性改进的建议。实施这些课程改进需要教育机构和医疗保健雇主之间的协调努力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Health Services Research
BMC Health Services Research 医学-卫生保健
CiteScore
4.40
自引率
7.10%
发文量
1372
审稿时长
6 months
期刊介绍: BMC Health Services Research is an open access, peer-reviewed journal that considers articles on all aspects of health services research, including delivery of care, management of health services, assessment of healthcare needs, measurement of outcomes, allocation of healthcare resources, evaluation of different health markets and health services organizations, international comparative analysis of health systems, health economics and the impact of health policies and regulations.
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